| NPI | 1538937800 |
|---|---|
| Other Name | TYHEARIA CARROLL-MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 11340) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |