| 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 |