| NPI | 1306361456 |
|---|---|
| Former Name | CASSANDRA CHANNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901557) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161530) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2023-12-27 |