| NPI | 1760773527 |
|---|---|
| Former Name | CANDACE DEANNA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 5725) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2022-12-21 |