NPI | 1144669318 |
---|---|
Former Name | JULIE HELENE DELEKTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016864) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014874) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2025-03-19 |