| NPI | 1831790229 |
|---|---|
| Former Name | CANDICE SHIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017396) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2025-04-22 |