NPI | 1275304669 |
---|---|
Other Name | NICOLE MICHELE TUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851110120) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851110120) |
Enumeration Date | 2024-01-15 |
Last Update Date | 2025-09-10 |