NPI | 1255717336 |
---|---|
Former Name | KYRA BETH KIEHNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 221341) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2015-07-30 |
Last Update Date | 2018-08-24 |