| NPI | 1417304890 |
|---|---|
| Former Name | KATIE DENISE MORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 11002) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-22947) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-11-13 |