| NPI | 1487115952 |
|---|---|
| Former Name | JULIA IRENE MAGDALENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP1279-R) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC17860) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2020-05-06 |