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 |