NPI | 1043561236 |
---|---|
Former Name | KIARA MARIE ESTILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP1184) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17685) |
Enumeration Date | 2012-09-27 |
Last Update Date | 2024-01-17 |