| NPI | 1215431408 |
|---|---|
| Former Name | MARISSA M SEDILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930095) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-02-19 |