| NPI | 1295416188 |
|---|---|
| Former Name | ANNA WICKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2606455) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2305345) |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2026-04-07 |