NPI | 1083178230 |
---|---|
Former Name | NICOLE D MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7855-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18081-130) |
Enumeration Date | 2019-01-22 |
Last Update Date | 2023-09-26 |