| NPI | 1598219693 |
|---|---|
| Former Name | HEATHER ANNE JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 262640) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 262815) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2021-05-12 |