| NPI | 1780023556 |
|---|---|
| Former Name | CYNTHIA MARGARET MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26648) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 26648) |
| 104100000X Social Worker (Licence: ND 4845) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-12-31 |