Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003065616 |
---|---|
Provider Name | Ms. Cassaundra Janiece Wilkins |
First Address | Washington, DC 20020-1001 |
Second Address | Washington, DC 20020-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 18/09/2008 |