| NPI | 1528260312 |
|---|---|
| Professional Name | NICOLE MARIE VAN SANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI ICADC) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 007720) |
| 101Y00000X Counselor (Licence: MI 200763) | |
| 101Y00000X Counselor (Licence: MI 62866) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |