| NPI | 1588160303 |
|---|---|
| Former Name | JULIE MARGARITA CLIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15745) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5422) |
| 101YM0800X Counselor, Mental Health (Licence: FL 15745) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-05-22 |