| NPI | 1407621816 |
|---|---|
| Former Name | LATOYA NICOLE MOSES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-04-30 |