NPI | 1215994694 |
---|---|
Former Name | KANDIS JUNE SWEET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61036475) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401004169) |
101YM0800X Counselor, Mental Health (Licence: WA CG60520790) | |
Enumeration Date | 2006-04-28 |
Last Update Date | 2022-02-25 |