| NPI | 1992113781 |
|---|---|
| Former Name | KOURTNEY MARIE HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60497597) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DC LMFT200001325) |
| 106H00000X Marriage & Family Therapist (Licence: VA LMFT0717002067) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2024-02-07 |