| NPI | 1780987511 |
|---|---|
| Former Name | JULIE A MISSELDINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5390) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI 1774) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2022-08-24 |