| NPI | 1700030236 |
|---|---|
| Former Name | AMY MARIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700181) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0025977) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1700181) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2017-05-09 |