NPI | 1699165969 |
---|---|
Former Name | PATRICE MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9232-123) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: WI 9232) | |
Enumeration Date | 2015-01-26 |
Last Update Date | 2023-04-04 |