NPI | 1750479689 |
---|---|
Former Name | JULIE A SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19892) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 204136) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2008-02-25 |