| NPI | 1487266995 |
|---|---|
| Former Name | MARTHA A JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082284) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013509) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2022-03-09 |