NPI | 1104681980 |
---|---|
Former Name | NICOLE F TUSCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC8435) |
Enumeration Date | 2024-02-20 |
Last Update Date | 2024-02-20 |