Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 73575 | TX |
NPI | 1003387978 |
---|---|
Provider Name | Julia Furman Hart |
First Address | Austin, TX 78722-2223 |
Second Address | Austin, TX 78759-8658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2018 |
Last Update Date | 17/12/2018 |