| NPI | 1831407923 |
|---|---|
| Former Name | CARRINE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53374) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 01-09-5051) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2026-07-29 |