| NPI | 1700194149 |
|---|---|
| Former Name | VANESSA MARIE WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2918) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60248926) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2023-01-06 |