NPI | 1063777407 |
---|---|
Former Name | KERRI LYNN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012572) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000001092139) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2024-01-03 |