| NPI | 1548865124 |
|---|---|
| Former Name | AYANNA AINA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY200001717) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 40454) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2025-10-16 |