NPI | 1285394254 |
---|---|
Other Name | ALLIE MOFFITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-12-17 |
Last Update Date | 2023-01-11 |