| NPI | 1922883768 |
|---|---|
| Former Name | COURTNEY NIKOLE LEADINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-31 |