| NPI | 1114454964 |
|---|---|
| Former Name | ALLISON LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 26157) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ND 4804) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |