| NPI | 1932656675 |
|---|---|
| Other Name | VICKIE STEPHANIE MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 125772) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2025-03-06 |