| NPI | 1609425065 |
|---|---|
| Other Name | LOUISE MOORE |
| Entity Type | Organization |
| Authorized Contact | LOUISE MOORE Mft 707-774-1225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |