| NPI | 1215407416 |
|---|---|
| Former Name | CANDY RENITA SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2024-10-30 |