NPI | 1396369666 |
---|---|
Former Name | VICTORIA JEAN DUMOULIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2783) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-12-12 |