NPI | 1558869024 |
---|---|
Former Name | CHRISTINA MARLENE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 68705) |
101YM0800X Counselor, Mental Health (Licence: TX 68705) | |
Enumeration Date | 2018-01-30 |
Last Update Date | 2024-11-11 |