| 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 |