| NPI | 1538417639 |
|---|---|
| Former Name | TIA KYLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6588) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 1861M) |
| 1041C0700X Social Worker, Clinical (Licence: AR 4461-C) | |
| 1041C0700X Social Worker, Clinical (Licence: MS C9077) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2018-10-18 |