| NPI | 1912340084 |
|---|---|
| Former Name | NICOLE NEWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6828) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-05-06 |