| NPI | 1578908133 |
|---|---|
| Former Name | CANDI BOETTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4230) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1117) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 982) | |
| 101YP2500X Counselor, Professional (Licence: NE 2069) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-04-26 |