NPI | 1336846708 |
---|---|
Former Name | COURTNEY OSBORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34010717A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 33010110A) |
Enumeration Date | 2023-02-15 |
Last Update Date | 2024-08-21 |