NPI | 1457803132 |
---|---|
Former Name | ALLISON JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3447) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-10-28 |
Last Update Date | 2023-12-28 |