| NPI | 1417052515 |
|---|---|
| Professional Name | JOENE FARRIS NICOLAISEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 5052659-6004) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |