| NPI | 1093140071 |
|---|---|
| Former Name | CYNDI MARIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009373) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3006) |
| 104100000X Social Worker (Licence: NC C009373) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2019-10-01 |