| NPI | 1356893143 |
|---|---|
| Former Name | CASSIDY ELLEN FISCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7045) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2020-01-19 |