| NPI | 1023255692 |
|---|---|
| Former Name | NICOLE LEANN SMATHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0701135) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0701135) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2013-10-02 |