| NPI | 1306037403 |
|---|---|
| Former Name | NICHOLE JENNIFER DUDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700654-S) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006156A) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-12-06 |