NPI | 1679166417 |
---|---|
Former Name | NICOLE M ADDIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2208575) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2101684-TRNE) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2022-12-06 |