| NPI | 1720648975 |
|---|---|
| Former Name | NICOLE MARIE DICKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202994) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801491) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-02-27 |