| NPI | 1801162474 |
|---|---|
| Former Name | MARSHA J MILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 16090) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2015-12-22 |