| NPI | 1255421772 |
|---|---|
| Former Name | MARY COPPEDGE MORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4273) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 4273) |
| 101YP2500X Counselor, Professional (Licence: NC 4273) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-04-02 |