NPI | 1205189966 |
---|---|
Former Name | RALISHA L. JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69538) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 4085) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2023-06-28 |