| NPI | 1720294283 |
|---|---|
| Former Name | TERRI MARIE MAYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000407) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-02-09 |