| NPI | 1144516907 |
|---|---|
| Former Name | NICOLE BRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0036) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-07-26 |