| NPI | 1104070697 |
|---|---|
| Former Name | MEGAN REBECCA HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2308-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 1981-M) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2021-12-27 |