NPI | 1487273645 |
---|---|
Former Name | VICTORIA JEANNE DZORKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103728) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW85165) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2023-06-13 |