| NPI | 1588329304 |
|---|---|
| Former Name | CASIDHE CAITLIN MOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC20946) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW1824) | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2024-05-03 |