NPI | 1487213096 |
---|---|
Former Name | VANESSA KATHARINA AGUILERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 3982) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2022-09-23 |