| NPI | 1003152836 |
|---|---|
| Former Name | BETHANY J JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100056) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 72262) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2023-05-18 |