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 |