| NPI | 1124570577 |
|---|---|
| Former Name | VICTORIA GRACE HARGENRADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006808) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000432) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102973) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2022-05-09 |