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 |