NPI | 1275041683 |
---|---|
Former Name | MORGAN MAE WOODKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
101Y00000X Counselor | |
Enumeration Date | 2018-01-19 |
Last Update Date | 2024-03-22 |