| NPI | 1306133764 |
|---|---|
| Former Name | TIFFANY ANN GATLIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00000238) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |