| NPI | 1114654571 |
|---|---|
| Other Name | JULIYANA DENAE JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-11-03 |