NPI | 1447547781 |
---|---|
Former Name | COURTNEY RACHAY YINGLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6304-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 6304-C) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2018-03-17 |