| NPI | 1811061823 |
|---|---|
| Former Name | KIMBERLY C MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 310948-3501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 310948-3501) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-05-19 |