| NPI | 1750015244 |
|---|---|
| Former Name | COURTNEY FRIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA APC000510) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: PA 03007436) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-11-08 |