| NPI | 1730731621 |
|---|---|
| Former Name | VICTORIA ANNE OUTLAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11097) |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0986) | |
| 1041C0700X Social Worker, Clinical (Licence: NM M-11097) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-02-02 |