| NPI | 1134368152 |
|---|---|
| Other Name | VICTORIA BLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701004368) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710102088) |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2009-02-14 |