| NPI | 1275021503 |
|---|---|
| Former Name | ERIKA MARIE MCMILLIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 164245) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |