| NPI | 1629667464 |
|---|---|
| Former Name | PENELOPE ELIZABETH MORROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13558-i) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |