| NPI | 1205213428 |
|---|---|
| Former Name | VANESSA STARR PITTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 247200000X Technician, Other (Licence: MI 6801096835) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-04-21 |