| NPI | 1922439496 |
|---|---|
| Former Name | JULIE MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013651) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013651) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2022-11-03 |