| NPI | 1730067760 |
|---|---|
| Former Name | CASSANDRA ALYCE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-09-03 |