| NPI | 1427877299 |
|---|---|
| Other Name | KIYA BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN TN-12523) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR AR-13092) |
| 101YM0800X Counselor Mental Health (Licence: MS MS-M10738) | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |