| NPI | 1447502448 |
|---|---|
| Former Name | JOHANNA CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B10000934) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2023-05-04 |