| NPI | 1235492927 |
|---|---|
| Former Name | JAMIE LYN MIILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005067) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2013-10-04 |