| NPI | 1881093094 |
|---|---|
| Former Name | NICOLE RAYCHELLE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW128028) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2304856) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2025-06-09 |