NPI | 1205246139 |
---|---|
Former Name | VANESSA RAULSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009408) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-04-30 |
Last Update Date | 2022-10-22 |