| NPI | 1740617869 |
|---|---|
| Former Name | JULIA ALESBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 810005230) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0810005230) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2018-10-10 |