NPI | 1720320153 |
---|---|
Former Name | NICOLE FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LH11106) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 16191) |
101YM0800X Counselor, Mental Health (Licence: GA LPC007206) | |
Enumeration Date | 2013-03-24 |
Last Update Date | 2025-09-23 |