NPI | 1699979799 |
---|---|
Other Name | NANCY J. VANDE VREDE-TILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401006575) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401006575) |
101YP2500X Counselor, Professional (Licence: MI 6401006575) | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2007-07-08 |