| NPI | 1821221441 |
|---|---|
| Other Name | JULIE DIAZ-POORE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC003405) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-08-30 |
| Last Update Date | 2009-08-30 |