| NPI | 1558840694 |
|---|---|
| Former Name | VERONICA JOYCE VAN BUREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-8528) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC-0018628) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-02-21 |