| NPI | 1043771132 |
|---|---|
| Former Name | LA'FONDA NICOLE GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LH322367) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2021-06-21 |