NPI | 1679075360 |
---|---|
Former Name | CANDACE MARIE BURHOOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-2144) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2024-03-27 |