| NPI | 1194187054 |
|---|---|
| Former Name | CANDACE SUSSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00570500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0013414) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-12-12 |