| NPI | 1912329939 |
|---|---|
| Professional Name | MOENKOPI COUNSELING PC |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9068997-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MSW 2nd year intern) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2018-03-28 |