| NPI | 1982813085 |
|---|---|
| Former Name | JULIA DIANNE DEVINNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 111) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 2844) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |