| NPI | 1720478688 |
|---|---|
| Former Name | NICOLE DOOZAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108389) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801095993) |
| 104100000X Social Worker (Licence: MI 6801095993) | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2022-02-22 |