| NPI | 1891215422 |
|---|---|
| Former Name | AMANDA JO MORRISSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.014012) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2024-07-12 |