NPI | 1700409919 |
---|---|
Former Name | BRITTANY MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73331) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13614) |
Enumeration Date | 2020-05-21 |
Last Update Date | 2024-07-02 |