| NPI | 1962987552 |
|---|---|
| Former Name | MEGAN ELIZABETH MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 03904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2023-11-08 |