| NPI | 1386709210 |
|---|---|
| Other Name | CANDICE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-372) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3037) |
| 101YP2500X Counselor, Professional (Licence: NE 1570) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-11-20 |