| NPI | 1811347974 |
|---|---|
| Former Name | MELISSA ANN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801099319) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-01-05 |