| NPI | 1780836510 |
|---|---|
| Former Name | BIRD VITKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701005638) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 7167) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2022-05-03 |