| NPI | 1467697524 |
|---|---|
| Professional Name | MONIQUE R MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw004960) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA 004960) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2022-02-01 |