| NPI | 1306618798 |
|---|---|
| Former Name | JONYCE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 120011) |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-12-26 |