NPI | 1033540018 |
---|---|
Former Name | TRINA RENEE MOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO mft.0001596) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 73553) |
Enumeration Date | 2013-12-02 |
Last Update Date | 2019-03-07 |