| 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 |