| NPI | 1467995035 |
|---|---|
| Former Name | HEATHER SUE JOHNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043888A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39004254A) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2025-04-02 |