| NPI | 1477821551 |
|---|---|
| Former Name | CASSANDRA MARIE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WY 639) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2025-05-14 |