| NPI | 1386812949 |
|---|---|
| Former Name | NICOLE RENEE FELTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OK 1141) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OK 1141) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2016-03-03 |