| NPI | 1689098386 |
|---|---|
| Former Name | CASSIE MALLET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7349) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 7349) |
| Enumeration Date | 2014-02-15 |
| Last Update Date | 2014-02-15 |