| NPI | 1790276020 |
|---|---|
| Former Name | CASEY RIORDAN MILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404287) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801016-TRNE) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-07-05 |