NPI | 1619629995 |
---|---|
Former Name | CANDICE M ZEHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10560-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20171-130) |
Enumeration Date | 2022-01-19 |
Last Update Date | 2025-02-12 |