NPI | 1780903252 |
---|---|
Former Name | JAMIE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009235) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 915) |
Enumeration Date | 2010-05-24 |
Last Update Date | 2023-03-14 |