| NPI | 1245336163 |
|---|---|
| Former Name | JULIE MELLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16549) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005276) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-05-11 |