| NPI | 1770625329 |
|---|---|
| Former Name | JULIE A GOTTLIEB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801008931) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801057671) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-02-13 |