NPI | 1245476837 |
---|---|
Former Name | JULIE J VORDERSTRASSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LCSW5600) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5926C) |
Enumeration Date | 2009-01-02 |
Last Update Date | 2011-11-02 |