| NPI | 1295968717 |
|---|---|
| Former Name | NICHOLE BONNIE SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 857) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE P658) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-07-21 |