| NPI | 1851280242 |
|---|---|
| Former Name | VICTORIA ANASTASIA VAN HORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-07-16 |