| NPI | 1932419389 |
|---|---|
| Former Name | JULIE ANA DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003968) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN 2928) |
| 103K00000X Behavior Analyst (Licence: 1-11-9444) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2016-08-29 |