| NPI | 1558000885 |
|---|---|
| Former Name | NICCOLE BEHNKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12362-123) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 1821-121) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2026-01-28 |