| NPI | 1447761275 |
|---|---|
| Former Name | KASSANDRA MOORE-MCINTYRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20043497A) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-07-26 |