NPI | 1013441161 |
---|---|
Former Name | CASSANDRA FAYE GILKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017265) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401015962) |
101YP2500X Counselor, Professional (Licence: MI 6401017265) | |
Enumeration Date | 2017-04-16 |
Last Update Date | 2024-03-21 |