| NPI | 1437417714 |
|---|---|
| Former Name | CANDACE W ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301015853) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401007436) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2020-11-19 |