| NPI | 1437476967 |
|---|---|
| Former Name | CYNTHIA L MORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 61679) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 61679-20) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-09-25 |