| NPI | 1891898417 |
|---|---|
| Former Name | DEBORAH KAY MOULDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 2910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 13771) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-12-19 |