| NPI | 1003210717 |
|---|---|
| Former Name | COURTNEY MICHELLE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1758) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 10013A) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2021-06-11 |