NPI | 1215277231 |
---|---|
Former Name | AMBER C JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015058) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000000889916) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2013-02-28 |
Last Update Date | 2023-01-24 |