NPI | 1184110454 |
---|---|
Former Name | BRIANA BAY HICKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2018-07-10 |
Last Update Date | 2019-09-10 |