| NPI | 1255560769 |
|---|---|
| Former Name | CANDACE HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: FL 9224) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2018-06-16 |