NPI | 1891817334 |
---|---|
Former Name | JULIE A HARDEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2379) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012040735) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2019-04-23 |