NPI | 1275713331 |
---|---|
Former Name | COURTNEY LEIGH HIRST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001031) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR A0710079) |
101YP2500X Counselor Professional (Licence: AR P1010069) | |
106H00000X Marriage & Family Therapist (Licence: AR A1101007) | |
Enumeration Date | 2007-11-06 |
Last Update Date | 2016-10-24 |