| NPI | 1629505268 |
|---|---|
| Former Name | CASSANDRA MARIE VISCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106721) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801102082) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2020-03-21 |