NPI | 1164086468 |
---|---|
Former Name | AKILI M. JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-04-23 |
Last Update Date | 2019-07-10 |