| Doctor Name: | MS. MAIRA HORTA MOSS |
| NPI Number: | 1093961104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFT |
| License Number: | |
| Business Practice Address: | 2850 4th Ave Ste 2 San Diego, CA - 921036208 |
| Business Phone Number: | 8587758478 |
| Business Fax Number: | |
| Mailing Address: | Rua Das Camelias 65, SAO PAULO |
| State: | SAO PAULO |
| Postal Code: | 04048 060 |
| Phone Number: | 0015511998858478 |
| Fax Number: | 8587758478 |
| NPI Enumeration Date: | 08/08/2008 |
| NPI Last Update Date: | 07/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |