| NPI | 1609548643 |
|---|---|
| Former Name | KIERA PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149030634) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 6207G) |
| 104100000X Social Worker (Licence: GA MSW007266) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-12-09 |