| NPI | 1740806488 |
|---|---|
| Former Name | NICOLE JEANNE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1541420124) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-UNZSWE) |
| 175T00000X Peer Specialist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-12-02 |