NPI | 1376214502 |
---|---|
Former Name | KIYANA HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154336) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-09-27 |
Last Update Date | 2025-04-08 |