NPI | 1275349532 |
---|---|
Former Name | ERMA J HICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018906) |
Additional Taxonomies | 104100000X Social Worker (Licence: NC P018906) |
Enumeration Date | 2024-12-10 |
Last Update Date | 2024-12-10 |