| NPI | 1942443346 |
|---|---|
| Former Name | STEPHEN DEWAYNE MILLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001842) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT53449) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-08-09 |