| NPI | 1174721021 |
|---|---|
| Former Name | VICKIE LYNN PURDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 9468) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 18352) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-02-14 |