| NPI | 1508300740 |
|---|---|
| Former Name | DANA LYNN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012875) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012562) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2021-09-24 |