NPI | 1649898636 |
---|---|
Former Name | CASSONDRA STEELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8635) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18706) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16562) | |
101YM0800X Counselor, Mental Health (Licence: WI 4676) | |
Enumeration Date | 2020-07-07 |
Last Update Date | 2024-12-05 |