NPI | 1821144254 |
---|---|
Other Name | LATONJYA MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 95043260) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-01-26 |
Last Update Date | 2024-03-28 |