| NPI | 1760225312 |
|---|---|
| Former Name | VIKKI ANNE RAMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0709025758) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-07-09 |