| NPI | 1134997315 |
|---|---|
| Other Name | TJ BULTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |