NPI | 1346786795 |
---|---|
Former Name | KOURTNI DINGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 4571) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-01-10 |
Last Update Date | 2019-03-14 |