| NPI | 1033478318 |
|---|---|
| Other Name | MICHAEL JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 1851C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 1851C) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |