| NPI | 1578807319 |
|---|---|
| Former Name | TINA RANE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2025-03-10 |