| NPI | 1366990996 |
|---|---|
| Former Name | NICOLE DIANA KLUPENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-6404) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC5539) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-06-23 |