| NPI | 1851757140 |
|---|---|
| Former Name | TIFFANY LOVELADY HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 2039) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MS 2039) |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2023-10-26 |