NPI | 1902109044 |
---|---|
Former Name | MAARI ANGELA MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015037) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6301015037) |
Enumeration Date | 2010-12-13 |
Last Update Date | 2016-05-11 |