NPI | 1053716472 |
---|---|
Former Name | KARA MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007039) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC0109700) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2024-10-21 |