| NPI | 1790448918 |
|---|---|
| Former Name | JULIA MARTIESIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134437) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0129518) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |