NPI | 1194118463 |
---|---|
Former Name | KELLY MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2015-03-11 |
Last Update Date | 2024-02-14 |