| NPI | 1730891318 |
|---|---|
| Former Name | LINDA SUE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 00941) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 22005) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |