| NPI | 1457898231 |
|---|---|
| Other Name | NICK E RONINSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |