| NPI | 1386670909 |
|---|---|
| Former Name | JULIANNE TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c003462) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw-0004490) |
| 1041C0700X Social Worker, Clinical (Licence: SC 11107) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-09-02 |