| NPI | 1003410986 |
|---|---|
| Former Name | CANDICE COUVILLION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 15250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 15250) |
| 104100000X Social Worker (Licence: LA 15250) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2025-03-10 |