| NPI | 1750614079 |
|---|---|
| Former Name | CANDICE YVONNE GLOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1759) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2013-04-10 |