| NPI | 1629686258 |
|---|---|
| Other Name | VICTORIA LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149022278) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-01-13 |