| NPI | 1790157931 |
|---|---|
| Former Name | VICKI BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005098) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11036) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |