NPI | 1386042299 |
---|---|
Former Name | JULIE MELOWSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0005120) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-12-09 |
Last Update Date | 2019-09-27 |