| NPI | 1528452059 |
|---|---|
| Former Name | LASHONDA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9847) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 128550-121) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2022-06-28 |