| NPI | 1780098772 |
|---|---|
| Former Name | VANESSA HAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39811) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW87427) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW87427) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-03-26 |