| NPI | 1013340645 |
|---|---|
| Former Name | JULIANNE TERESA MIHALICIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 14289) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 14289) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2022-06-27 |