| NPI | 1568527281 |
|---|---|
| Other Name | GWEN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018026) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150009996) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-08-30 |