| NPI | 1932690229 |
|---|---|
| Former Name | CASEY MICHELLE MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7636) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2021-01-12 |