| NPI | 1134300635 |
|---|---|
| Former Name | LUCINDA ZIMMERMAN-NICKOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2023042778) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4726) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2023-12-11 |