| NPI | 1245339647 |
|---|---|
| Former Name | EILEEN MARIE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 1597125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 1597125) |
| 104100000X Social Worker (Licence: WI 3077123) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |