| NPI | 1932576956 |
|---|---|
| Former Name | CASSANDRA JANE MCCONN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.500200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH LE.00021539) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2021-06-10 |