| NPI | 1134449432 |
|---|---|
| Former Name | CHRISTINA VICTORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016730) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2015-06-22 |