| NPI | 1356069934 |
|---|---|
| Former Name | JULIE VERMILLION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 1478) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-05-12 |