NPI | 1295026961 |
---|---|
Former Name | JULIE MARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 868) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1073) |
Enumeration Date | 2011-04-28 |
Last Update Date | 2011-04-28 |