| NPI | 1255588919 |
|---|---|
| Former Name | NICOLE ROXANNE DOLZADELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2018-08-17 |