| NPI | 1629486493 |
|---|---|
| Former Name | LAURA ELAINE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253238) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253238) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2021-12-29 |