NPI | 1255770327 |
---|---|
Former Name | AMBER EGYPT MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 102X00000X Poetry Therapist (Licence: NC P21161) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 40207) |
225100000X Physical Therapist (Licence: TX 1269097) | |
Enumeration Date | 2013-06-21 |
Last Update Date | 2022-04-27 |