NPI | 1962238766 |
---|---|
Former Name | JULIE WULF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2024-09-10 |
Last Update Date | 2024-09-10 |