NPI | 1548378771 |
---|---|
Other Name | DIANNE KAY HICKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 148) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 148) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2024-06-18 |