| NPI | 1134493687 |
|---|---|
| Former Name | CHRISTINE MARIE CANDELARIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-15-18490) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093996) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2015-08-24 |