| NPI | 1689224800 |
|---|---|
| Former Name | KIAYA A DEMONBREUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8374) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7165) |
| 101YP2500X Counselor, Professional (Licence: SC 7165) | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-11-18 |