| NPI | 1760406987 |
|---|---|
| Other Name | DOROTHEA E. MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 0512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 001918) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |