| NPI | 1194093617 |
|---|---|
| Former Name | GRETCHEN EMILY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 008154) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 53319) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2022-10-24 |