NPI | 1609548643 |
---|---|
Former Name | KIERA PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW007266) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW007266) |
101YP2500X Counselor, Professional (Licence: GA MSW007266) | |
Enumeration Date | 2021-09-28 |
Last Update Date | 2023-10-04 |