NPI | 1194056317 |
---|---|
Professional Name | KIA RICHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 0000003455) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-01-28 |
Last Update Date | 2023-04-11 |