NPI | 1033583356 |
---|---|
Former Name | CHINYERE MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC1900X Psychologist, Counseling | |
106S00000X Behavior Technician | |
Enumeration Date | 2015-11-24 |
Last Update Date | 2023-05-17 |