| NPI | 1124269428 |
|---|---|
| Former Name | JULIE ELIZABETH SURBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017851) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35510061300) |
| 103T00000X Psychologist (Licence: CT 004121) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2023-02-24 |