| NPI | 1376851774 |
|---|---|
| Former Name | NANAMI SCOTT |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011245) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000374) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2019-07-24 |