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 |