| NPI | 1376828152 |
|---|---|
| Former Name | SHELLEY CHRISTINE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa12343) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8778) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2015-05-28 |