NPI | 1265463897 |
---|---|
Former Name | NICOLE ALEXANDRA BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006462) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88728) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-05-29 |