NPI | 1407261431 |
---|---|
Former Name | JULIE KRISTEN MANNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10716) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 10716) |
Enumeration Date | 2014-06-28 |
Last Update Date | 2025-01-21 |