| 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 |