| NPI | 1962022350 |
|---|---|
| Former Name | NICOLE JEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21397) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC7566) |
| 1041C0700X Social Worker, Clinical (Licence: NH 2905) | |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2023-10-30 |