| NPI | 1225873318 |
|---|---|
| Former Name | DONNA L NIKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-09-16 |