NPI | 1376728204 |
---|---|
Former Name | NANCY MORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61038) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-01-09 |
Last Update Date | 2021-04-27 |