| NPI | 1942753025 |
|---|---|
| Former Name | COURTNEY LEE GLOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2020-07-29 |