| NPI | 1891099859 |
|---|---|
| Former Name | LATASHA Y HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A8135) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 8135) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 8135) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2734) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2734-A) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 8135) | |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: NC A8135) | |
| 101YP2500X Counselor, Professional (Licence: NC 8135) | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2020-09-19 |