NPI | 1760749345 |
---|---|
Former Name | COURTNEY L SCHEMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4951-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178007971) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2015-03-25 |