| NPI | 1548630809 |
|---|---|
| Former Name | TIA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-34962) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2021-05-24 |