| NPI | 1225023740 |
|---|---|
| Former Name | MITZI ZEPHRONIA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 33399) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 1691) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2018-10-29 |