| NPI | 1841422250 |
|---|---|
| Former Name | WENDI L MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3355) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 880) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |