| NPI | 1114246261 |
|---|---|
| Former Name | LAURA DIANE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105019) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2017-03-15 |