NPI | 1235593518 |
---|---|
Former Name | TIFFANY ANN MAROFSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.175841) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-04-12 |
Last Update Date | 2023-04-10 |