| NPI | 1760154736 |
|---|---|
| Former Name | DEVIN BINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 0009924522) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY pcsw-961) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-04-15 |