| NPI | 1376587774 |
|---|---|
| Former Name | SONDRA SHANTEL HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004919) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA MSW003847) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-06-14 |