NPI | 1790912095 |
---|---|
Former Name | JILL DENISE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4721) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2009-06-15 |
Last Update Date | 2024-09-12 |