| NPI | 1659728723 |
|---|---|
| Former Name | KIRA ARCHIBALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 123048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223428) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-09-22 |