| NPI | 1356954325 |
|---|---|
| Former Name | VANESSA VALENZUELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA 61033880) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |