NPI | 1639211303 |
---|---|
Former Name | JULIE A CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016604) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3360-125) |
101YP2500X Counselor, Professional (Licence: AZ LPC-22571) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2024-01-24 |