| NPI | 1770999021 |
|---|---|
| Former Name | STACEY HILTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086040-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090795) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2017-11-13 |