| NPI | 1851054688 |
|---|---|
| Former Name | LACEEY NICOLE RUBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119937) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851111176) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2025-03-17 |