| NPI | 1245415090 |
|---|---|
| Former Name | NINA M SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH6165) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh6165) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1300158) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2020-01-25 |