| NPI | 1710742077 |
|---|---|
| Former Name | EMILY MORGAN LEADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17010-131) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 10276-125) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2025-10-13 |