| NPI | 1811355399 |
|---|---|
| Former Name | ELIZABETH ANN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VT 089.0134968) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13923) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2022-12-21 |