| NPI | 1083010128 |
|---|---|
| Other Name | ALICIA V VEDERNIKOV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 24798) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |