| NPI | 1285060525 |
|---|---|
| Former Name | NICOLE LEEANA GUICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: OR A4799) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-01-05 |