NPI | 1598385304 |
---|---|
Former Name | AKILA JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001937) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000631) |
Enumeration Date | 2020-04-21 |
Last Update Date | 2023-12-20 |