| NPI | 1134212897 |
|---|---|
| Former Name | JULIE SALLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: KS 255) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: KS 255) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-01-04 |