| NPI | 1104855774 |
|---|---|
| Other Name | VIKKI GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E3755) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-01-14 |