| NPI | 1407538242 |
|---|---|
| Former Name | VICTORIA BRIANNE SMITHERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 6745) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 8963) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-04-08 |