| NPI | 1700940624 |
|---|---|
| Former Name | SHIRLEY MAY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT0162) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC12980) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-09 |