| NPI | 1184034050 |
|---|---|
| Former Name | VIVIAN LACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018302) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61670578) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2025-04-30 |