NPI | 1528081528 |
---|---|
Former Name | KARA BLISS KIPHUTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 418-4-1-99-133) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 4184199133) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2018-10-25 |