NPI | 1619525516 |
---|---|
Former Name | JULIANNE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-09-03 |
Last Update Date | 2024-09-13 |