| NPI | 1932237336 |
|---|---|
| Professional Name | KATHLEEN PATRICIA MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 84) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7143) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |