NPI | 1134823552 |
---|---|
Other Name | KAREN BROCHUE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4581) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT4581) |
106H00000X Marriage & Family Therapist (Licence: TX 4990) | |
Enumeration Date | 2023-03-29 |
Last Update Date | 2023-03-29 |