NPI | 1487211272 |
---|---|
Former Name | ELIZABETH CLAIRE MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08202) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2025-04-09 |