NPI | 1477740363 |
---|---|
Other Name | DIANNA MARIE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123779) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 6623) |
101YP2500X Counselor, Professional (Licence: CA APCC5303) | |
106H00000X Marriage & Family Therapist (Licence: CA AMFT107693) | |
Enumeration Date | 2007-09-25 |
Last Update Date | 2023-05-02 |