| NPI | 1063969996 |
|---|---|
| Former Name | CASSIE MORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2021-06-09 |