| NPI | 1326475252 |
|---|---|
| Former Name | FUNMILAYO JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080661) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50077925) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2017-08-07 |