| NPI | 1710413521 |
|---|---|
| Former Name | CASSANDRA LEIGH BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0015470) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPCC.0015243) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-06-23 |