| NPI | 1447543483 |
|---|---|
| Former Name | JULIE MARIE WALDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76077) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 76077) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2020-03-20 |