| NPI | 1528727831 |
|---|---|
| Former Name | NICOLE KEEHNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT LCSW-53250) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MT LCSW-53250) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2022-02-01 |