| NPI | 1881729572 |
|---|---|
| Former Name | JULIE ANNE BORBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61416256) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2024-06-24 |