| NPI | 1588019145 |
|---|---|
| Other Name | VANESSA ELOISE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC15037) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |