| NPI | 1396097739 |
|---|---|
| Former Name | NICOLE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923785) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0997517) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2024-11-08 |