| 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 |