| NPI | 1790269884 |
|---|---|
| Former Name | CANDACE JUDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP3011-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60884804) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60996550) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-01-18 |