NPI | 1265994131 |
---|---|
Former Name | CORTNEY ASHLEY IRELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11390) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC0011420) |
101YP2500X Counselor, Professional (Licence: DE PC0011420) | |
101YP2500X Counselor, Professional (Licence: MD LC11390) | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-03-07 |