| NPI | 1386312759 |
|---|---|
| Former Name | TIA LYN MORISHIGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5758C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61515942) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-04-26 |