| NPI | 1215327770 |
|---|---|
| Former Name | NICHOLE SUSANE TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16203) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011761) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2026-07-02 |