NPI | 1134785983 |
---|---|
Former Name | STEPHANIE M JULIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304262) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S1600347) |
Enumeration Date | 2019-05-17 |
Last Update Date | 2023-02-13 |