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 |