NPI | 1144611831 |
---|---|
Former Name | AMY COURTRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401014070) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178009657) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2023-07-26 |