NPI | 1508417916 |
---|---|
Other Name | CASSANDRA DEMETRIA PASQUARIELLO WALLACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CA PSY26752) |
Enumeration Date | 2019-09-26 |
Last Update Date | 2022-10-13 |