NPI | 1699820357 |
---|---|
Former Name | COURTNEY JAYNE STARKEY WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-22724) |
Additional Taxonomies | 101YS0200X Counselor School |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-02-06 |