| NPI | 1013217124 |
|---|---|
| Former Name | COURTNEY LYNN ROSE NEWSOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-65049) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: GA RBT-20-141298) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2025-08-29 |