| NPI | 1871094565 |
|---|---|
| Former Name | NICOLE LOUISE DURBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001732) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2025-08-12 |