| NPI | 1790179836 |
|---|---|
| Former Name | KASEY RANDLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700265) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1300131) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-08-20 |