NPI | 1558608570 |
---|---|
Former Name | KRISTI CHLOE CASSADAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: SD 654) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CO 0004944) |
Enumeration Date | 2013-01-10 |
Last Update Date | 2025-09-23 |