| NPI | 1457521817 |
|---|---|
| Former Name | NICOLE FRYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00338) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LPC00587) |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2024-05-16 |