| NPI | 1447572284 |
|---|---|
| Former Name | DORINDA MARY JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00401900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR07181600) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |