| NPI | 1710556782 |
|---|---|
| Former Name | TIMOTHY ALLAN MORTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9535) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN L0000013638) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-06-25 |