| NPI | 1497189484 |
|---|---|
| Former Name | CASSANDRA DEANNA CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004158) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2014-04-01 |