| NPI | 1619308491 |
|---|---|
| Former Name | CONRAD PAUL AKINS-JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 100879) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2021-04-13 |