| NPI | 1194012518 |
|---|---|
| Former Name | SHEILA JO OHNSTAD JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15689-131) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2023-02-13 |