| NPI | 1124337951 |
|---|---|
| Former Name | REBECCA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4237) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE p-993) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2015-06-16 |