| NPI | 1154814192 |
|---|---|
| Former Name | COURTNEY RAE GALLARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09924482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-03-29 |