| NPI | 1043832504 |
|---|---|
| Former Name | CANDICE MARIE STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 18701) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 15132) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |