| NPI | 1558377796 |
|---|---|
| Former Name | JOHNA C GERASCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 0035) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NM 1129) |
| 103T00000X Psychologist (Licence: WI 1116-57) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-07-29 |