| NPI | 1144356734 |
|---|---|
| Former Name | NICOLE WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 211473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113481) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-10-11 |