NPI | 1649283003 |
---|---|
Former Name | JULIA CHRISTOFFERSEN STINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: UT 7752010-2501) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 239) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2011-05-09 |