NPI | 1306981097 |
---|---|
Former Name | CASSANDRA MCKINNON CASSIAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2751) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 722) |
106H00000X Marriage & Family Therapist (Licence: MO 2012040800) | |
106H00000X Marriage & Family Therapist (Licence: CA MFC 48918) | |
Enumeration Date | 2007-02-20 |
Last Update Date | 2023-01-12 |