| NPI | 1174503130 |
|---|---|
| Former Name | PHYLLIS MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH F0003014) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH F0003017) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-05-12 |