NPI | 1205443660 |
---|---|
Former Name | CANDIS ERIN MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61210181) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61210204) |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-09-29 |
Last Update Date | 2023-07-12 |