NPI | 1861843674 |
---|---|
Former Name | GRACE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC60756765) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-06-23 |
Last Update Date | 2020-04-14 |