| NPI | 1538483219 |
|---|---|
| Former Name | JULIE PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1500722) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37pc00420800) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2023-02-13 |