| NPI | 1134941719 |
|---|---|
| Former Name | EMILY MORGAN FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2445) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3880) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |