| NPI | 1942767397 |
|---|---|
| Former Name | NICHOLE LYNN COCCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2024-10-31 |