| NPI | 1598422339 |
|---|---|
| Former Name | VICTORIA SIMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023050468) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2021043397) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-01-02 |