| NPI | 1396907028 |
|---|---|
| Former Name | SHANNON CASSIDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014799) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 118149) |
| 104100000X Social Worker (Licence: NC C014799) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 118149) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-07-20 |