| NPI | 1609930197 |
|---|---|
| Former Name | WENDY A. MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00021) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3106-125) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |