| NPI | 1285918193 |
|---|---|
| Former Name | CANDICE M JOSTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 01-07-3561) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301016173) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2016-03-21 |