| NPI | 1134777105 |
|---|---|
| Former Name | NICOLE MCDADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2784) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2022-09-22 |