| NPI | 1326716523 |
|---|---|
| Former Name | JULIET CARLSON JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC018690) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-10-09 |