| NPI | 1114493731 |
|---|---|
| Former Name | CASSIDY ANNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60944490) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2025-04-04 |