| NPI | 1407544372 |
|---|---|
| Former Name | NICOLE ROCKWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 12886205-3502) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-09-26 |