| NPI | 1407202252 |
|---|---|
| Former Name | CANDICE CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-10-03 |