| NPI | 1902817885 |
|---|---|
| Former Name | JOBETH NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005964A) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-10-19 |