| NPI | 1164891768 |
|---|---|
| Former Name | CASEY LARAE COURSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 253613) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 7362) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2024-05-16 |