| NPI | 1093098683 |
|---|---|
| Former Name | SONYA DERAIN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 071452) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 071452) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2022-05-01 |