NPI | 1295100147 |
---|---|
Other Name | COURTNEY ABRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IA 121537) |
Additional Taxonomies | 103TH0004X Psychologist, Health |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2015-12-03 |
Last Update Date | 2024-01-12 |