| NPI | 1508596297 |
|---|---|
| Former Name | CASSANDRA M CHILDRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-04019) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-02-13 |