NPI | 1609871631 |
---|---|
Former Name | JULIE BOBLENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC003547) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S-0008535) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2018-09-24 |