| NPI | 1376026831 |
|---|---|
| Former Name | NICOLE MARIE SOBKOWIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 16260-131) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16260) |
| 104100000X Social Worker (Licence: WI 16260-131) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-05-30 |