| 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 |