NPI | 1932168564 |
---|---|
Other Name | THERESA ANN MILLER-ETOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM 0786) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NM NM786) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2018-07-31 |