| NPI | 1548029325 |
|---|---|
| Former Name | NICOLE FERN ALBANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |