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 |