| NPI | 1851656169 |
|---|---|
| Former Name | JESSICA R MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254578) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 7201) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2021-10-11 |