| NPI | 1972353969 |
|---|---|
| Former Name | COURTNEY RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61531011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020002) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |