| NPI | 1972839272 |
|---|---|
| Other Name | LISA HICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6417-C) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR Provisional) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2017-03-14 |