| NPI | 1477653681 |
|---|---|
| Former Name | NICOLE CHERBONNEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7011) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-10-11 |