NPI | 1992108740 |
---|---|
Former Name | NICOLE HEISE NEFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2801) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302039) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2020-10-05 |