| NPI | 1992987481 |
|---|---|
| Former Name | TIFFANY CHRISTINE WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 7526-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3576) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2020-01-09 |