| NPI | 1306350376 |
|---|---|
| Former Name | SHEILA MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 166539) |
| 405300000X Prevention Professional (Licence: OH 161735) | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2019-07-01 |