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 |