| NPI | 1154923431 |
|---|---|
| Former Name | MORGAN MARIE WALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1753) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |