NPI | 1255803227 |
---|---|
Former Name | JULIE MARIE HARKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A14597) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25209) |
Enumeration Date | 2019-01-01 |
Last Update Date | 2019-02-02 |