NPI | 1588003123 |
---|---|
Former Name | MARIA MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10108) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NM 0115311) |
104100000X Social Worker (Licence: NM M-08562) | |
Enumeration Date | 2013-06-17 |
Last Update Date | 2018-08-24 |