| NPI | 1386419232 |
|---|---|
| Other Name | NICOLE LAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2024-09-12 |