| NPI | 1114066347 |
|---|---|
| Former Name | JULIE WATTS LUTCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 104703) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 190) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |