| NPI | 1790103224 |
|---|---|
| Former Name | AUDREY MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5017) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC5017) |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School (Licence: TN 000591828) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-06-06 |