| NPI | 1184769044 |
|---|---|
| Former Name | JULIANNE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110957) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-12-23 |