NPI | 1184349953 |
---|---|
Other Name | CANDICE GRADDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: IL 150106919) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 106919) |
Enumeration Date | 2022-10-05 |
Last Update Date | 2022-10-05 |