| NPI | 1659759546 |
|---|---|
| Former Name | KENISHA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007480) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006689) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-10-26 |