| NPI | 1609223809 |
|---|---|
| Former Name | KIRA PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C10435) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 151871) |
| 101YP2500X Counselor, Professional (Licence: SD 7315) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2025-10-08 |