NPI | 1932643483 |
---|---|
Former Name | CASSANDRA LYN BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 654) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WY 654) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-12-16 |
Last Update Date | 2024-08-27 |