| NPI | 1932656675 |
|---|---|
| Other Name | VICKIE STEPHANIE MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-08-20 |