| NPI | 1043908205 |
|---|---|
| Former Name | JANENE KINGSLEY MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT152376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT136024) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2026-02-12 |