| NPI | 1003174780 |
|---|---|
| Former Name | EMILY BRELAND JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 9546) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2021-03-28 |