| NPI | 1265994131 |
|---|---|
| Former Name | CORTNEY ASHLEY WHALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11390) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP9451) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-04-25 |