| NPI | 1700021128 |
|---|---|
| Former Name | COURTNEY LYNN EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 217298) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 313326) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2014-12-04 |