| NPI | 1427243682 |
|---|---|
| Former Name | JULIE A. MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDCS00354) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |