NPI | 1881241479 |
---|---|
Former Name | KILEY RHAE MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV Dp00945549) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2019-08-20 |
Last Update Date | 2025-03-27 |