| NPI | 1336572981 |
|---|---|
| Former Name | NICOLE L RAASTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3525) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2015-10-23 |