| NPI | 1487014171 |
|---|---|
| Former Name | KRISTEN L HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA 0T007243) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 007243) |
| 225X00000X Occupational Therapist (Licence: FL 17506) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-04-29 |