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 |