| NPI | 1447280094 |
|---|---|
| Former Name | NANCY A JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005268) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 2003-57) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-04-01 |