NPI | 1164548491 |
---|---|
Professional Name | NICKI WEBBER MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: OK 986) |
Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: OK 986) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-07-08 |