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 |