| NPI | 1306002597 |
|---|---|
| Former Name | TONYA NICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1603044) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2019-01-22 |