| NPI | 1881761229 |
|---|---|
| Former Name | ANNE MARIE HICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 1032791) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 651) |
| 1041C0700X Social Worker Clinical (Licence: RI ISW01905) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-03-14 |