| NPI | 1104194661 |
|---|---|
| Former Name | JULIE CHIRSTINE WILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 838) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |