| NPI | 1194105395 |
|---|---|
| Former Name | HEATHER CASADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID 203183) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2021-06-09 |