| NPI | 1003097999 |
|---|---|
| Former Name | STACY ERIN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000898) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2023-12-18 |