NPI | 1629280250 |
---|---|
Former Name | LINNEA SERENDEE MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5108) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0122221) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2013-05-20 |