| NPI | 1861795684 |
|---|---|
| Former Name | KIMBERLY LAUREN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 218457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1501309) |
| 1041C0700X Social Worker, Clinical (Licence: MA 218457) | |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2023-06-13 |