| NPI | 1942772637 |
|---|---|
| Former Name | CHERYL KAY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60145178) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |