NPI | 1447815030 |
---|---|
Former Name | DANIELLE M MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW94766) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: CA LCSW118833) | |
1041C0700X Social Worker, Clinical (Licence: CA ASW94766) | |
Enumeration Date | 2019-05-08 |
Last Update Date | 2023-11-07 |