| Doctor Name: | MS. NINA A MORENO |
| NPI Number: | 1619303906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACSW |
| License Number: | |
| Business Practice Address: | 104 Bonita Ct Rodeo, CA - 945721835 |
| Business Phone Number: | 7075365104 |
| Business Fax Number: | |
| Mailing Address: | 104 Bonita Ct, RODEO |
| State: | CA |
| Postal Code: | 945721835 |
| Phone Number: | 7075365104 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2013 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |