| NPI | 1912717042 |
|---|---|
| Former Name | VICTORIA LORRAINE BROOKHOUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC p021570) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 113855) |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-08-22 |