| NPI | 1356103196 |
|---|---|
| Former Name | CANDACE LYNN LITAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL ALC04768) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL ALC04768) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL ALC04768) | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-29 |