| NPI | 1578034856 |
|---|---|
| Former Name | NICOLE ELIZABETH DOERRMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc02004) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2023-05-30 |