NPI | 1396250882 |
---|---|
Former Name | MEGAN B MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8700) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006972) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2023-08-02 |