NPI | 1023022837 |
---|---|
Former Name | AMY LYNN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 66594) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 3266) |
101YP2500X Counselor Professional (Licence: AR P0905031) | |
101YP2500X Counselor Professional (Licence: TX 66594) | |
101Y00000X Counselor (Licence: AR A0401004) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2024-05-13 |