NPI | 1699186189 |
---|---|
Former Name | CANDICE S RAYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15216) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001893A) |
Enumeration Date | 2014-05-19 |
Last Update Date | 2019-08-13 |