| NPI | 1053947259 |
|---|---|
| Former Name | LISA MARIE MORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00843500) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37AC00436500) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2023-09-18 |