| NPI | 1194213447 |
|---|---|
| Former Name | MISTY MCMORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015189) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-09-23 |