| NPI | 1770037699 |
|---|---|
| Former Name | VERONICA LYNN MOELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 12022) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 12022) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2024-05-13 |