| NPI | 1356807036 |
|---|---|
| Former Name | VANESSA YURIKO WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT136450) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC12893) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2023-01-17 |