| NPI | 1417636739 |
|---|---|
| Former Name | MIKALA MILLIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 8348) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 8348) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-20 |