NPI | 1023160587 |
---|---|
Former Name | JULIE ANN CAJOLET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4561) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WI 2801-057) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2014-12-04 |