| NPI | 1184946881 |
|---|---|
| Former Name | NANCY JEAN MOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |