| NPI | 1619729795 |
|---|---|
| Former Name | MARY MARGARET MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024352) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05789800) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |