NPI | 1164555207 |
---|---|
Former Name | JULIE K BOSWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 105826) |
Additional Taxonomies | 221700000X Art Therapist (Licence: KY 169044) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2016-08-31 |