NPI | 1154109544 |
---|---|
Former Name | COURTNEY M FOLDESI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02875) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1325-9-1-23A) |
Enumeration Date | 2023-09-18 |
Last Update Date | 2024-05-28 |