| NPI | 1699979799 | 
|---|---|
| Other Name | NANCY J. VANDE VREDE-TILLER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401006575)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401006575)  | 
| 101YP2500X Counselor, Professional (Licence: MI 6401006575)  | |
| Enumeration Date | 2007-06-13 | 
| Last Update Date | 2025-09-11 |