| 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 |