| NPI | 1508417916 |
|---|---|
| Other Name | CASSANDRA DEMETRIA PASQUARIELLO WALLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY26752) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CT 4439) |
| 103TC1900X Psychologist, Counseling (Licence: AZ PSY-005761) | |
| 103TC1900X Psychologist, Counseling (Licence: WI 3669-57) | |
| 103TC1900X Psychologist, Counseling (Licence: WA PY60534188) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2026-07-20 |