NPI | 1780007369 |
---|---|
Former Name | CASSANDRA WOLFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10663) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-02-01 |
Last Update Date | 2021-09-21 |