| NPI | 1730264755 |
|---|---|
| Former Name | PEGGY A MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 774) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 120) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1261) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-09 |