| 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 |