| NPI | 1821458860 |
|---|---|
| Former Name | TIFFANY ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT122564) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT112547) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2023-09-13 |