| NPI | 1407261431 |
|---|---|
| Former Name | JULIE KRISTEN MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10716) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10716) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2021-06-26 |