| NPI | 1306857875 |
|---|---|
| Professional Name | CONNIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 14874) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-03-01 |