| NPI | 1982955506 |
|---|---|
| Former Name | DONNA LYNN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS1441) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2026-02-19 |