NPI | 1326668088 |
---|---|
Former Name | JULIA HOWARD GATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3975) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3975) |
Enumeration Date | 2020-04-23 |
Last Update Date | 2021-03-18 |