| NPI | 1477782498 |
|---|---|
| Former Name | ANDREA MARIE MORA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW68168) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2019-02-08 |