| NPI | 1073811139 |
|---|---|
| Former Name | CYNTHIA J MOSES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2007025653) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2589-C) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2019-04-26 |