| NPI | 1407621980 |
|---|---|
| Former Name | MOIRA ANTHONY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00993700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009973) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-12-07 |