NPI | 1003648148 |
---|---|
Former Name | AMY MARIE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-11-20503) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A011050315) |
101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-R-5811) | |
Enumeration Date | 2024-08-16 |
Last Update Date | 2024-11-26 |