NPI | 1780043554 |
---|---|
Former Name | JULIE ANNE JANCO-GIDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6637) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OH 6637) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2024-10-23 |