| NPI | 1568936946 |
|---|---|
| Former Name | JULIANNE M GENNERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9624) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 7764) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2021-02-25 |