| NPI | 1568109908 |
|---|---|
| Other Name | BOBBIE JO JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1195-5-15-22-581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1195-5-15-22A) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2024-08-14 |