NPI | 1740806488 |
---|---|
Former Name | NICOLE JEANNE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 175T00000X Peer Specialist |
175T00000X Peer Specialist (Licence: CA MPSS-UNZSWE) | |
Enumeration Date | 2020-06-18 |
Last Update Date | 2024-05-30 |