| NPI | 1154751816 |
|---|---|
| Former Name | CASSIE EIDEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 26889) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN AP13-1551) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2013-11-16 |