NPI | 1689817587 |
---|---|
Former Name | JULIE ANNE BARTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071008055) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178006050) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2011-01-16 |