| NPI | 1225694326 |
|---|---|
| Former Name | NICOLE EMILY ATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 4129) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |