| 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 |