| NPI | 1841661048 |
|---|---|
| Former Name | COURTNEY M. RODRIGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13729) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC7190) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2024-02-06 |