NPI | 1679344949 |
---|---|
Former Name | CASSANDRA PIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: ND 6690) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 29404) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-11-06 |