| NPI | 1023341450 |
|---|---|
| Former Name | ABIGAIL LAURIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 5340) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 7051) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2023-07-06 |