| NPI | 1720266463 |
|---|---|
| Former Name | CASSANDRA HEREDIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT114653) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2020-02-14 |