| NPI | 1609963420 |
|---|---|
| Former Name | SHERRI RENEE' JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006025) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 11923) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-08-26 |