| NPI | 1235298316 |
|---|---|
| Former Name | KYRA DAWN WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 6071470-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-3728) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-01-14 |