| 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 |