| NPI | 1174697361 |
|---|---|
| Former Name | KELLY MORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2005036879) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2005036879) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2025-01-31 |