| Doctor Name: | MS. CAROLINE ANNE MILLER |
| NPI Number: | 1629434782 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PCCI 1135 |
| Business Practice Address: | 5935 Playa Vista Dr Apt 205 Playa Vista, CA - 900942130 |
| Business Phone Number: | 3142830706 |
| Business Fax Number: | 4243385744 |
| Mailing Address: | 5935 Playa Vista Dr, Apt 205 PLAYA VISTA |
| State: | CA |
| Postal Code: | 900942130 |
| Phone Number: | 3142830706 |
| Fax Number: | 4243385744 |
| NPI Enumeration Date: | 01/05/2016 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PCCI 1135 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |