| NPI | 1528432564 |
|---|---|
| Professional Name | LAKITA MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 10076) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2016-04-07 |