| NPI | 1316405939 |
|---|---|
| Former Name | JAENA KAE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-17524) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-04-06 |