| NPI | 1225751670 |
|---|---|
| Former Name | CANDACE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5332C-S) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA CG61440385) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2025-12-30 |