NPI | 1063781771 |
---|---|
Former Name | JULIE ANN MELIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN cc01538) |
Additional Taxonomies | 133N00000X Nutritionist |
133NN1002X Nutritionist, Nutrition, Education | |
Enumeration Date | 2011-12-26 |
Last Update Date | 2017-08-08 |