| NPI | 1255493326 |
|---|---|
| Former Name | ROSE MARIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 20197) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 20197) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-03-15 |