NPI | 1922043207 |
---|---|
Former Name | JULIANNE TJOSSEM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00007988) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00002260) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2007-07-08 |