| NPI | 1346438660 |
|---|---|
| Former Name | NICOLE N VANCLEAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY 104153) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2023-11-14 |