| NPI | 1760546220 |
|---|---|
| Former Name | NICKIE RENE LUDEMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 4006) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NE BSW) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2014-10-17 |