| NPI | 1265054316 | 
|---|---|
| Former Name | NICOLE K LAURIE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.2512354)  | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-05-12 | 
| Last Update Date | 2025-08-18 |