| NPI | 1114702701 |
|---|---|
| Doing Business As | GABRIELLE MOORE |
| Entity Type | Organization |
| Authorized Contact | GABRIELLE MOORE Owner 469-600-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-02-15 |