NPI | 1477133510 |
---|---|
Former Name | KERAH MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10155-125) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2021-04-13 |
Last Update Date | 2022-11-21 |