NPI | 1982812822 |
---|---|
Former Name | KATHERINE ELIZABETH MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 001834) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-05-21 |
Last Update Date | 2018-07-10 |