| NPI | 1518637198 |
|---|---|
| Former Name | COURTNEY L NEWTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 19461) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |