| NPI | 1407183056 |
|---|---|
| Former Name | LYNN MELOY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5517) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 8015) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2025-01-28 |