| NPI | 1295325637 |
|---|---|
| Former Name | JULIA ANNE FREDRIKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82099) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82099) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2024-07-01 |