NPI | 1003451303 |
---|---|
Former Name | TRINITY ALISE MOSES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0017405) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-11-10 |
Last Update Date | 2024-02-12 |