| NPI | 1821815143 |
|---|---|
| Doing Business As | NICOLE MOORE THERAPY |
| Entity Type | Organization |
| Authorized Contact | NICOLE MOORE Owner 702-483-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |