| NPI | 1306273073 |
|---|---|
| Former Name | MARYBETH MICHELLE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2015-11-02 |