| NPI | 1427212828 |
|---|---|
| Former Name | JAMIE LYN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 23913) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2021-09-03 |