| NPI | 1841537198 |
|---|---|
| Former Name | TIFFANY MARIE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 03294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2390) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2023-07-19 |