| NPI | 1770865578 |
|---|---|
| Former Name | JULIA CHRISTINE KLETZKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180011106) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2018-03-17 |