NPI | 1619520954 |
---|---|
Former Name | COURTNEY FELDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019047967) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.014066) |
Enumeration Date | 2019-07-16 |
Last Update Date | 2023-02-01 |