| NPI | 1790918910 |
|---|---|
| Former Name | DIANE MICHELLE HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 0493906) |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2024-05-28 |