| NPI | 1609933894 |
|---|---|
| Former Name | JULIE ANN KACHADURIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6361001198) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6361001198) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-09-03 |