| NPI | 1083699979 |
|---|---|
| Former Name | A. NICOLE SPIVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR c1853) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 041169U3) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-01-08 |