NPI | 1902338643 |
---|---|
Former Name | CASSIDY RIEMENSCHNEIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 19004) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2023-02-10 |