NPI | 1942671185 |
---|---|
Former Name | COURTNEY MERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-10-14 |
Last Update Date | 2020-10-08 |