| NPI | 1144370123 |
|---|---|
| Former Name | JULIE LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5542) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 000532300) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-03-29 |