| NPI | 1346687753 |
|---|---|
| Former Name | NICOLE HALLISSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009030) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2023-08-14 |