| NPI | 1750034773 |
|---|---|
| Former Legal Business Name | NICOLE LEVINE THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | NICOLE GABRIELLE LEVINE-KAPKE Therapist/Owner 805-479-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-04-12 |