NPI | 1841461316 |
---|---|
Former Name | CAROLYN KAY MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: WV 22061) |
Additional Taxonomies | 103TS0200X Psychologist, School |
101YP2500X Counselor, Professional (Licence: WV 1246) | |
Enumeration Date | 2008-03-12 |
Last Update Date | 2013-08-30 |