| NPI | 1467909069 |
|---|---|
| Former Name | NICOLE RICHARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 093409-1) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-02-22 |