NPI | 1952875916 |
---|---|
Former Name | T NICOLE APPLEGATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2024015078) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AR P1811146) |
Enumeration Date | 2019-01-13 |
Last Update Date | 2024-10-11 |