| NPI | 1619582558 |
|---|---|
| Other Name | VANESSA DIAZ VENEGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW130689) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 100521) |
| 104100000X Social Worker (Licence: CA 100521) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-08-12 |