| NPI | 1437683620 |
|---|---|
| Former Name | NICOLE RANSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110543) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16630) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2023-04-19 |