NPI | 1447517347 |
---|---|
Former Name | ROBYN K. MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-1572) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-1353) |
106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC-4433) | |
Enumeration Date | 2012-04-16 |
Last Update Date | 2023-11-02 |