| NPI | 1972957439 |
|---|---|
| Former Name | KASSANDRA IVELYSSE MORALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MA LMFT10000006) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2026-07-28 |