| NPI | 1447511183 |
|---|---|
| Former Name | JACKIE K. RICHTER-MOSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5179) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15750) |
| 101YP2500X Counselor, Professional (Licence: WI 5179) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-12-27 |