NPI | 1750870432 |
---|---|
Former Name | CASSANDRA GANIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11177) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT 4310) |
104100000X Social Worker | |
Enumeration Date | 2018-05-08 |
Last Update Date | 2020-09-16 |