| NPI | 1265807069 |
|---|---|
| Former Name | GRESSA JOHANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR ABA-B-10250168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2024-12-09 |