| NPI | 1235416033 |
|---|---|
| Other Name | BO JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64947) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2024-02-07 |