NPI | 1497369078 |
---|---|
Former Name | VANESSA RACHAEL NETTELHORST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT132443) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-09-01 |
Last Update Date | 2023-10-03 |