| NPI | 1891860987 |
|---|---|
| Former Name | CONNIE E NIKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091351) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-08-16 |