| NPI | 1396887519 |
|---|---|
| Former Name | DEBRA JEANETTE COURTNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 998LSCSW) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO LSCSW2005038977) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-08-23 |