NPI | 1578077715 |
---|---|
Other Name | NICOLE ATHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14284) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00262300) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2017-11-27 |
Last Update Date | 2021-08-27 |