NPI | 1124045190 |
---|---|
Former Name | JULIA K HALLORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2322) |
101YM0800X Counselor, Mental Health (Licence: WI 3459-125) | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2023-05-02 |