| 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 | 2025-04-09 |