| NPI | 1912742156 |
|---|---|
| Former Name | COURTNEY M RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6852093131) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |