| NPI | 1255673166 |
|---|---|
| Former Name | RONDA B. JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC0439) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |