NPI | 1669131496 |
---|---|
Former Name | CASSANDRA A HARTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017735) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27531) |
Enumeration Date | 2021-12-09 |
Last Update Date | 2024-06-24 |