NPI | 1174139794 |
---|---|
Former Name | JULIE COPLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65379) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 66235) |
Enumeration Date | 2020-09-18 |
Last Update Date | 2020-09-18 |