| NPI | 1265776876 |
|---|---|
| Former Name | BRIDGET DIXON MILLIKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9796) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20956) |
| 101YM0800X Counselor, Mental Health (Licence: NC 9796) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2021-05-21 |