| NPI | 1780888214 |
|---|---|
| Former Name | JULIA ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 68.00053420) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 0500673) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-05-12 |