| NPI | 1659467066 |
|---|---|
| Former Name | JULIE ANN TOMIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 000576) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 000562) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-11-07 |