NPI | 1730384843 |
---|---|
Former Name | DEBORAH ANN MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5425) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 5425) |
101YM0800X Counselor, Mental Health (Licence: FL MH 3746) | |
Enumeration Date | 2007-06-19 |
Last Update Date | 2024-11-20 |