| NPI | 1336334317 |
|---|---|
| Former Name | ANDEE NICOLE HARDESTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 8444) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-754) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2014-07-14 |