| NPI | 1598117681 |
|---|---|
| Former Name | COURTNEY LEIGH CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY60638875) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-09-05 |