NPI | 1295126746 |
---|---|
Former Name | ANNA BROOKE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A15487) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21123) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2020-03-05 |