| NPI | 1134580301 |
|---|---|
| Former Name | SHALON ELIZABETH CASSIDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024485) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2001416-TRNE) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2024-04-15 |