| NPI | 1639846264 |
|---|---|
| Former Name | VANESSA BURLINGAME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2310146) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2001393-TRNE) |
| 104100000X Social Worker (Licence: VA 0903003982) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0906012510) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-05-28 |