| NPI | 1174766422 |
|---|---|
| Former Name | CANDACE JA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |