| NPI | 1790918910 |
|---|---|
| Former Name | DIANE MICHELLE HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 0493906) |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2014-01-23 |