| NPI | 1255440343 |
|---|---|
| Former Name | STEPHANIE FELISA MORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3385) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 93) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-01-07 |