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 |