NPI | 1003528795 |
---|---|
Former Name | COURTNEY C HOLMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0021744) |
Additional Taxonomies | 172A00000X Driver |
Enumeration Date | 2022-12-14 |
Last Update Date | 2025-03-10 |