| NPI | 1083930457 |
|---|---|
| Former Name | COURTENAY B BLACKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22383) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2023-12-12 |