| NPI | 1538218805 |
|---|---|
| Former Name | KELLY ANNE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 8037) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-10-21 |