NPI | 1386844637 |
---|---|
Other Name | COURTNEY NICOLE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A129878) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2007-07-24 |
Last Update Date | 2022-03-08 |