| NPI | 1114542644 |
|---|---|
| Former Name | NICOLE GABRIELLE LEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW117358) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-03-14 |