NPI | 1225171812 |
---|---|
Former Name | JULIE BIRUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51071) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60119623) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2013-05-22 |