| NPI | 1306497318 |
|---|---|
| Other Name | SANDRA K. JOHNSON, PH.D. |
| Entity Type | Organization |
| Authorized Contact | SANDRA K. JOHNSON Psychologist/Clinical Director 313-739-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |