NPI | 1356072631 |
---|---|
Former Name | VICTORIA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW228153) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2022-06-18 |
Last Update Date | 2024-04-15 |