| NPI | 1043083249 |
|---|---|
| Other Name | CASSANDRA ELAINE TEBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 228310) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 228310) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |