| NPI | 1053458661 |
|---|---|
| Former Name | CHRISTINA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 16323) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD G11793) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-05-17 |