| NPI | 1164597506 |
|---|---|
| Former Name | MELISSA D MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 804) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1320) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-08-15 |