| NPI | 1982018339 |
|---|---|
| Former Name | KIANA RAE LARSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117251) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2021-08-06 |