| NPI | 1679609093 |
|---|---|
| Former Name | JULIE DANIELLE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: TX N8058) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-04-11 |