NPI | 1194204420 |
---|---|
Former Name | NICOLE VAINEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22693) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1786-123) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2025-05-09 |