NPI | 1396280194 |
---|---|
Former Name | DION JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2017-01-03 |
Last Update Date | 2017-01-03 |