| NPI | 1639809379 |
|---|---|
| Former Name | COURTNEY GOOSSENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 8331309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-8813) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-04-22 |