| NPI | 1871854109 |
|---|---|
| Former Name | NICOLE VARGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1502332) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2025-05-20 |