| NPI | 1205491545 |
|---|---|
| Former Name | CANDICE ELIZABETH WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001887) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 001887) |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 174400000X Specialist | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |