| NPI | 1063212967 |
|---|---|
| Former Name | COURTNEY HEIDELBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-04-30 |