| NPI | 1942697750 |
|---|---|
| Former Name | MICHELLE MOSES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15004) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2018-04-12 |