Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | MA |
NPI | 1144895921 |
---|---|
Provider Name | Cassandra Campana |
First Address | Newton, MA 02458-1423 |
Second Address | Newton, MA 02458-1423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2021 |
Last Update Date | 24/05/2021 |