| NPI | 1508499526 |
|---|---|
| Former Name | MARY ELIZABETH MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14645) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2025-12-10 |