NPI | 1558859819 |
---|---|
Former Name | MORGAN MARIE SPRAGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 10566) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
175T00000X Peer Specialist | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-23 |
Last Update Date | 2022-05-25 |