NPI | 1386114122 |
---|---|
Former Name | CASSANDRA CHRISTINE LOACANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0004X Psychologist, Health |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103T00000X Psychologist | |
103TA0700X Psychologist, Adult Development & Aging | |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2018-12-04 |
Last Update Date | 2019-04-25 |