| NPI | 1629521950 |
|---|---|
| Former Name | NICOLE MARIE LACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 23698) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-12-07 |