| NPI | 1477729085 |
|---|---|
| Former Name | COLLEEN MARIE HICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078503-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05178500) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2020-11-18 |