NPI | 1609305358 |
---|---|
Professional Name | COURTNEY LYNN BOLTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV BP00944974) |
Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00944974) |
1041C0700X Social Worker, Clinical (Licence: OH 2102880) | |
104100000X Social Worker (Licence: OH 2102880) | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-05-04 |