NPI | 1396125050 |
---|---|
Former Name | COURTNEY B THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-06-08 |
Last Update Date | 2020-11-10 |