NPI | 1457624330 |
---|---|
Former Name | MARY CATHERINE CASCIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 15538) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006150) |
Enumeration Date | 2012-02-22 |
Last Update Date | 2023-12-18 |