NPI | 1730561036 |
---|---|
Former Name | AMY JO MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1201425) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH ICDC.131089) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2022-08-17 |