NPI | 1437403151 |
---|---|
Former Name | ASHLEY L JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2328) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2328) |
101Y00000X Counselor | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2012-11-02 |
Last Update Date | 2021-02-18 |