| NPI | 1043805351 |
|---|---|
| Former Name | NICOLLE R WOMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC15245) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC15245) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC15245) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2024-06-27 |