NPI | 1760154736 |
---|---|
Former Name | DEVIN BINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930675) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1684) |
Enumeration Date | 2021-09-29 |
Last Update Date | 2024-07-20 |