| NPI | 1740567502 |
|---|---|
| Former Name | NICOLE CHRISTINE KOREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |