NPI | 1669894580 |
---|---|
Former Name | JULIE CHRISTINE SHERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36462) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 70291) |
103K00000X Behavior Analyst (Licence: TX 1-13-15060) | |
Enumeration Date | 2014-01-11 |
Last Update Date | 2018-03-20 |