| NPI | 1932451648 |
|---|---|
| Former Name | ANDREA VAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO NLC-12518) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2022-03-08 |