| NPI | 1902271224 |
|---|---|
| Former Name | MORKEITH PHILLIPS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |