| NPI | 1548619679 |
|---|---|
| Professional Name | VICKI MARIE MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 1470) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NM CCMH0220321) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-06-05 |