| NPI | 1972894491 |
|---|---|
| Former Name | VANESSA MARIE MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015860) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2020-10-09 |