| NPI | 1003149790 |
|---|---|
| Former Name | NICOLE L CROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 479) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ND 479) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP 5446) | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2022-03-31 |