| NPI | 1366940355 |
|---|---|
| Former Name | CASSANDRA K MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103530) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-08-06 |