| NPI | 1083133490 |
|---|---|
| Other Name | NIKKI REBECCA LIU JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 60722639) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA 60722639) |
| 103TC0700X Psychologist, Clinical (Licence: WA 60722639) | |
| 103TC1900X Psychologist, Counseling (Licence: WA 60722639) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA 60722639) | |
| 103TF0200X Psychologist, Forensic (Licence: WA 60722639) | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |