| NPI | 1326319369 |
|---|---|
| Former Name | CASSANDRA MN GLEASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60145093) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: cp60145093) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2024-12-08 |