| NPI | 1568058576 |
|---|---|
| Other Name | VIKKI GOTTLIEB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61072651) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79311) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |