| NPI | 1831340454 |
|---|---|
| Former Name | VIVIAN ELAINE CAMPBELL-MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-656) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY CAP099) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2012-09-19 |