NPI | 1669905709 |
---|---|
Other Name | NIKKI VIETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA 12062) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 001437) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2018-03-17 |