| NPI | 1497536577 |
|---|---|
| Former Name | NICOLE MARIA ANTHONY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116819) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082808) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |