NPI | 1396072351 |
---|---|
Former Name | ELIZABETH DIANE CASSODY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 3532) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3532) |
Enumeration Date | 2009-11-12 |
Last Update Date | 2025-03-12 |