| NPI | 1417590183 |
|---|---|
| Former Name | CASSANDRA WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094157) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2023-01-10 |