NPI | 1114388915 |
---|---|
Former Name | NICOLEE BIDDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019845) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018684) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2025-09-11 |