| NPI | 1487211272 |
|---|---|
| Former Name | ELIZABETH CLAIRE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08202) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: NE 11852) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-08-25 |