| NPI | 1528649738 |
|---|---|
| Former Name | NOLA VEAZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 379) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 2C-04-129-0122) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |