NPI | 1730466327 |
---|---|
Former Name | JULIE ANN NEWCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15394) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004539) |
Enumeration Date | 2011-11-09 |
Last Update Date | 2018-07-25 |