NPI | 1467180091 |
---|---|
Former Name | CASSANDRA KULWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025657) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.105343) |
Enumeration Date | 2022-08-11 |
Last Update Date | 2024-11-19 |