NPI | 1124323662 |
---|---|
Former Name | DIANE L MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 49484) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA RN 197014) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2023-11-27 |