| NPI | 1841646239 |
|---|---|
| Former Name | ASHLEY HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 1145) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 1145) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2019-05-20 |