NPI | 1275241655 |
---|---|
Former Name | MORGAN LEIGH SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17104-131) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20014-130) |
Enumeration Date | 2022-11-14 |
Last Update Date | 2024-02-12 |