NPI | 1699327130 |
---|---|
Former Name | JULIA DENNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM1017) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-07-15 |
Last Update Date | 2024-04-17 |