| NPI | 1649838780 |
|---|---|
| Former Name | NICOLE LYNN EGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022028662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020012454) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-08-01 |