NPI | 1902227861 |
---|---|
Former Name | ALYSSA C MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005676) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102816) |
101YP2500X Counselor, Professional (Licence: VA 0701005676) | |
Enumeration Date | 2013-12-19 |
Last Update Date | 2023-11-28 |