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 | 2025-01-05 |