| NPI | 1770678625 |
|---|---|
| Former Name | VICKI LYNN WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3755) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005222A) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-01-15 |