| NPI | 1912134628 |
|---|---|
| Former Name | RITA MARIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1602023) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2007011991) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2018-03-17 |