| NPI | 1336262989 |
|---|---|
| Former Name | CARA MARIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 002651) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2018-03-17 |