| NPI | 1124540265 |
|---|---|
| Former Name | COURTNEY WARNECKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2021-05-21 |