| NPI | 1831912955 |
|---|---|
| Other Name | KERRI SMALL VINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5857) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |