| NPI | 1376918417 |
|---|---|
| Former Name | VANESSA VALDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020015) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2019-11-20 |