| NPI | 1932645439 |
|---|---|
| Former Name | CASSANDRA N BOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 9704-M) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2025-06-09 |